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General NPI Number Information
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NPI Number | 1467645325
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Entity Type | Individual
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Provider Name | ELIZABETH ANLIKER PRENOVEAU LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 600 WYNDHURST AVE STE 308C
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City | BALTIMORE
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State | MD
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Zip | 21210-2489
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Country | US
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Telephone | 410-900-9612
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Fax | 410-323-6999
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Provider Business Mailing Address
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Address Line | 600 WYNDHURST AVE STE 308C
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City | BALTIMORE
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State | MD
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Zip | 21210-2489
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Country | US
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Telephone | 410-900-9612
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Fax | 410-323-6669
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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